进展性脑梗死与完全性脑梗死危险因素对照分析

Analysis of the risk factors of stroke in progression and complete cerebral infarction

目的对照分析进展性脑梗死与完全性脑梗死的危险因素。方法选取进展性脑梗死与完全性脑梗死患者各100例,分组比较患者的血压、血糖、血管评价结果、血脂、凝血状态等指标,所得数据经统计学分别处理。结果进展性脑梗死患者血压、血糖、血管评价结果、血脂、凝血状态等指标均较完全性脑梗死组患者平均水平差,其中颈动脉与脑部大血管狭窄与斑块检出率差异有统计学意义(P<0.05)。结论进展性脑梗死与完全性脑梗死患者有较多相同的临床危险因素,进展性脑梗死患者各项指标的平均值均较完全性脑梗死患者表现差。

Objective To evaluate the clinical risk factors for stroke in progression. Methods The blood pressure,blood glucose,blood lipids,neck vascular ultrasound results of 100 patients with stroke in progression were analyzed,and were compared with 100 patients with complete cerebral infarction.The data were analyzed statistically. Results Stroke in progression group had low systolic blood pressure,diabetes,high blood glucose,hyperlipidemia,high fibrinogen,and intracranial and extracranial large artery stenosis,and showed a significant difference（ P 0.05）. Conclusion Hyperglycemia,acute stage of systolic blood pressure decreased,hyperlipidemia,hyperfibrinogenemia and intracranial and extracranial large artery stenosis are closely related to stroke in progression and complete cerebral infarction,and should serve as risk factors.